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Missouri rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.32 / $1.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.26 / $1.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $2.09 / $4.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.35 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.21 / $1.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.23 / $1.30